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Maryland rates for HCPCS 0655T

Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.81 / $1,563.57 / $1,658.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.39 / $2,057.50 / $2,450.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.81 / $1,860.67 / $3,281.55